Individual
CATHERINE M VANNICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 525-2448
Mailing address
46 PARKSIDE CT, UTICA, NY 13501-5739
(315) 525-2448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
349922
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2022
Last updated
10/20/2022
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